An upper endoscopy is one of the more shoppable GI procedures. Prices in Tampa range from under $400 to over $4,000 for the same CPT code billed to the same insurer. The facility you choose matters a lot.
The doctor fee is separate
The gastroenterologist who performs your endoscopy bills independently of the hospital. The rates shown here are facility fees only.
Your total bill has two parts: facility fee (this tool) plus the physician fee. The physician fee for a standard upper endoscopy typically runs $150 to $400 separately. Confirm your gastroenterologist is in-network before you go.
Biopsies change your bill
If your doctor takes tissue samples during the procedure, the procedure upgrades to CPT 43239. The facility fee increases. Pathology then bills separately to read the samples.
Pathology is often billed by a separate lab group that may be out-of-network even at an in-network hospital. Ask in advance whether the pathology group is in-network with your insurer.
Freestanding endoscopy centers are cheaper
Hospital outpatient departments charge a premium for the same procedure. Freestanding endoscopy centers run by the same gastroenterologist typically cost 40 to 60% less.
If your endoscopy is elective or diagnostic, ask your doctor whether they can schedule it at an outpatient center instead. Most can.